|
Conversion ext bil drg cath
|
$6,364.40 |
$6,364.40 |
$6,364.40 |
$4,270.00
|
|
Convert nephrostomy catheter
|
$5,427.52 |
$5,427.52 |
$5,427.52 |
$4,197.30
|
|
Coombs direct
|
$24.64 |
$24.64 |
$24.64 |
$70.74
|
|
Coombs indirect qualitative each reagent red cell reference
|
$11.76 |
$11.76 |
$11.76 |
$76.70
|
|
Coombs indirect titer reference
|
$16.24 |
$16.24 |
$16.24 |
$122.85
|
|
Cornea pre-cut midwest eye cornea pre-cut midwest eye
|
$4,950.40 |
$4,950.40 |
$4,950.40 |
$9,900.00
|
|
Coronary angio/cath placement bypass graft/lv gram/lt heart
|
$14,295.68 |
$14,295.68 |
$14,295.68 |
$11,903.70
|
|
Coronary angio/lv gram/lt heart
|
$12,672.80 |
$12,672.80 |
$12,672.80 |
$11,772.00
|
|
Coronary angio/lv gram/rt< heart
|
$15,047.76 |
$15,047.76 |
$15,047.76 |
$12,021.10
|
|
Coronary art/grft angio s&i
|
$9,171.68 |
$9,171.68 |
$9,171.68 |
$9,162.00
|
|
Coronary catheterization w/angiography supervision & interpretation
|
$7,565.60 |
$7,565.60 |
$7,565.60 |
$9,198.18
|
|
Cortisol total am
|
$89.04 |
$89.04 |
$89.04 |
$117.81
|
|
Co-treatment - group 15 mins, st
|
$53.20 |
$53.20 |
$53.20 |
$108.81
|
|
Counseling smoke cess interm >10mins
|
$28.00 |
$28.00 |
$28.00 |
$57.85
|
|
Coveredge 32 lead kit 40cm 48
|
$2,240.00 |
$2,240.00 |
$2,240.00 |
$7,683.00
|
|
Covid-19 lab test non-cdc
|
$39.20 |
$39.20 |
$39.20 |
$52.69
|
|
#covid19rsv-rsv
|
$82.32 |
$82.32 |
$82.32 |
$140.80
|
|
#coxa-coxsackie a serotype a16
|
$34.72 |
$34.72 |
$34.72 |
$65.36
|
|
C-peptide
|
$36.40 |
$36.40 |
$36.40 |
$111.20
|
|
Crbrospnl fld flw imag cistern
|
$685.44 |
$685.44 |
$685.44 |
$1,170.64
|
|
C-reactive protein
|
$32.48 |
$32.48 |
$32.48 |
$54.43
|
|
C-reactive protein high sensitivity
|
$26.88 |
$26.88 |
$26.88 |
$91.65
|
|
C-reactive protein, quantitative
|
$71.06 |
$71.06 |
$71.06 |
$77.50
|
|
Creatine kinase
|
$19.04 |
$19.04 |
$19.04 |
$55.00
|
|
Creatine kinase isoenzymes
|
$15.68 |
$15.68 |
$15.68 |
$66.00
|
|
Creatine kinase mb
|
$45.92 |
$45.92 |
$45.92 |
$100.75
|
|
Creatine - sendout
|
$27.44 |
$27.44 |
$27.44 |
$35.10
|
|
Creatinine
|
$19.04 |
$19.04 |
$19.04 |
$40.00
|
|
Creatinine 24 hour urine
|
$19.04 |
$19.04 |
$19.04 |
$54.40
|
|
Creatinine clearance urine
|
$44.80 |
$44.80 |
$44.80 |
$73.86
|
|
#creutz-prot.,western blot
|
$225.40 |
$225.40 |
$225.40 |
$178.10
|
|
Critical care 30-74 minutes
|
$2,473.52 |
$2,473.52 |
$2,473.52 |
$2,540.23
|
|
Critical care each additional 30 minutes
|
$101.92 |
$101.92 |
$101.92 |
$663.00
|
|
Crtj pericardial window/prtl resecj w/drg/bx
|
$3,966.48 |
$3,966.48 |
$3,966.48 |
$3,161.89
|
|
Cryoprecipitate each unit
|
$57.68 |
$57.68 |
$57.68 |
$182.25
|
|
Cryptococcus abs qn - sendout
|
$44.80 |
$44.80 |
$44.80 |
$89.70
|
|
Cryptosporidium antigen
|
$50.96 |
$50.96 |
$50.96 |
$65.55
|
|
Crystal identification light microscopy
|
$27.44 |
$27.44 |
$27.44 |
$56.44
|
|
Csf leakage imaging
|
$545.44 |
$545.44 |
$545.44 |
$1,426.73
|
|
CT 3d report other modality w/workstation
|
$141.68 |
$141.68 |
$141.68 |
$607.80
|
|
Cta abdomen without & /or w/contrast
|
$1,056.72 |
$1,056.72 |
$1,056.72 |
$2,050.23
|
|
Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast
|
$1,159.76 |
$1,159.76 |
$1,159.76 |
$2,092.73
|
|
Cta lower extremity without & w/contrast (both sides)
|
$1,639.68 |
$1,639.68 |
$1,639.68 |
$1,899.75
|
|
Cta neck without &/or w/contrast
|
$811.44 |
$811.44 |
$811.44 |
$1,772.40
|
|
CT Angiogram of Abdomen and Pelvis
|
$2,070.88 |
$2,070.88 |
$2,070.88 |
$2,834.25
|
|
CT Angiogram of the Chest (for blood clot)
|
$1,076.88 |
$1,076.88 |
$1,076.88 |
$1,728.80
|
|
CT Angiogram of the Head
|
$1,518.72 |
$1,518.72 |
$1,518.72 |
$1,951.50
|
|
CT angio hrt w/3d image
|
$379.12 |
$379.12 |
$379.12 |
$1,618.00
|
|
CT angio pelvis
|
$1,016.40 |
$1,016.40 |
$1,016.40 |
$1,775.28
|
|
Cta upper extremity w &/or without contrast left
|
$1,639.68 |
$1,639.68 |
$1,639.68 |
$1,650.60
|
|
CT guidance for needle placement
|
$519.12 |
$519.12 |
$519.12 |
$1,425.85
|
|
CT guidance for percutaneous drain w/catheter placement supervision & interpretation
|
$309.68 |
$309.68 |
$309.68 |
$1,007.29
|
|
CT guid parench tis ablat
|
$274.40 |
$274.40 |
$274.40 |
$1,228.50
|
|
CT limited or localized follow-up study
|
$125.44 |
$125.44 |
$125.44 |
$624.60
|
|
CT lower extremity w/contrast (both sides)
|
$827.68 |
$827.68 |
$827.68 |
$1,585.18
|
|
CT lower extremity without contrast (both sides)
|
$725.20 |
$725.20 |
$725.20 |
$1,302.00
|
|
CT lwr extremity w/o&w/dye
|
$768.32 |
$768.32 |
$768.32 |
$1,618.50
|
|
CT neck soft tissue w/contrast
|
$608.72 |
$608.72 |
$608.72 |
$1,577.55
|
|
CT neck soft tissue without contrast
|
$558.32 |
$558.32 |
$558.32 |
$1,151.00
|
|
CT neck soft tissue without & w/contrast
|
$659.68 |
$659.68 |
$659.68 |
$1,752.75
|
|
CT orbit/sella/fossa w/wo contrast
|
$700.56 |
$700.56 |
$700.56 |
$1,647.20
|
|
CT orbit/sella/ or posterior outer inner or middle ear w/contrast
|
$616.56 |
$616.56 |
$616.56 |
$1,487.25
|
|
CT orbit/sella/ or posterior outer inner or middle ear without contrast
|
$497.28 |
$497.28 |
$497.28 |
$1,250.00
|
|
CT scan for therapy guide
|
$390.32 |
$390.32 |
$390.32 |
$656.13
|
|
CT Scan of Abdomen and Pelvis (with and without contrast)
|
$1,751.68 |
$1,751.68 |
$1,751.68 |
$3,133.65
|
|
CT Scan of Abdomen and Pelvis (with contrast)
|
$1,682.80 |
$1,682.80 |
$1,682.80 |
$2,737.80
|
|
CT Scan of Abdomen and Pelvis (without contrast)
|
$1,430.24 |
$1,430.24 |
$1,430.24 |
$2,240.40
|
|
CT thoracic spine w/contrast
|
$571.20 |
$571.20 |
$571.20 |
$1,604.85
|
|
CT thoracic spine without contrast
|
$537.04 |
$537.04 |
$537.04 |
$1,381.20
|
|
CT t-spine w /wo contrast
|
$766.08 |
$766.08 |
$766.08 |
$1,817.25
|
|
CT upper extremity w/contrast (both sides)
|
$827.68 |
$827.68 |
$827.68 |
$1,651.65
|
|
CT upper extremity without contrast (both sides)
|
$725.20 |
$725.20 |
$725.20 |
$1,408.54
|
|
CT uppr extremity w/o&w/dye
|
$768.32 |
$768.32 |
$768.32 |
$1,688.20
|
|
Culture aerobic additional method definitive id each
|
$38.08 |
$38.08 |
$38.08 |
$61.03
|
|
Culture afb any source
|
$67.20 |
$67.20 |
$67.20 |
$93.50
|
|
Culture anaerobic additional method definitive id each
|
$62.72 |
$62.72 |
$62.72 |
$73.00
|
|
Culture anaerobic except blood
|
$50.40 |
$50.40 |
$50.40 |
$110.00
|
|
Culture bact stool aero addl path ea
|
$17.92 |
$17.92 |
$17.92 |
$49.40
|
|
Culture body fluid
|
$63.84 |
$63.84 |
$63.84 |
$111.15
|
|
Culture fungi definitive id mold
|
$76.72 |
$76.72 |
$76.72 |
$70.00
|
|
Culture fungi definitive id yeast
|
$51.52 |
$51.52 |
$51.52 |
$68.00
|
|
Culture fungi other (except blood)
|
$47.04 |
$47.04 |
$47.04 |
$92.95
|
|
Culture fungi skin/hair/nail
|
$41.44 |
$41.44 |
$41.44 |
$74.75
|
|
Culture mycoplasma any source
|
$135.52 |
$135.52 |
$135.52 |
$94.00
|
|
Culture quantitative aerobic other source
|
$30.80 |
$30.80 |
$30.80 |
$63.45
|
|
Culture screening strep group a
|
$45.36 |
$45.36 |
$45.36 |
$76.00
|
|
Culture typing immunologic
|
$18.48 |
$18.48 |
$18.48 |
$38.58
|
|
Culture urine each isolate
|
$42.56 |
$42.56 |
$42.56 |
$44.80
|
|
Cutter lead
|
$7,834.40 |
$7,834.40 |
$7,834.40 |
$5,644.60
|
|
Cv line/pic reposition
|
$1,286.88 |
$1,286.88 |
$1,286.88 |
$1,681.20
|
|
Cv stress test i&r only 93018
|
$145.60 |
$145.60 |
$145.60 |
$42.00
|
|
Cv stress test/supervision only 93016
|
$43.12 |
$43.12 |
$43.12 |
$51.20
|
|
Cyanocobalamin unsat binding capacity
|
$9.55 |
$9.55 |
$9.55 |
$64.28
|
|
Cyclic citrullinated peptide antibody
|
$26.32 |
$26.32 |
$26.32 |
$91.20
|
|
Cyclophosphamide 25 mg capsule
|
$5.90 |
$5.90 |
$5.90 |
$22.51
|
|
Cyclosporine 2 hour
|
$63.28 |
$63.28 |
$63.28 |
$126.10
|
|
Cyclosporine modified 25 mg capsule
|
$3.24 |
$3.24 |
$3.24 |
$4.42
|
|
Cyclosporine oral 100 mg
|
$7.82 |
$7.82 |
$7.82 |
$19.50
|
|
Cylinder pump set 20cm titan zero angl
|
$12,096.00 |
$12,096.00 |
$12,096.00 |
$25,255.20
|
|
Cyp2c19 gene com variants
|
$202.16 |
$202.16 |
$202.16 |
$583.20
|
